Physician Clinical Reviewer – Pediatric Gastroenterology
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Job Description
Clinical Reviewer at Prime Therapeutics evaluating pediatric gastroenterology service requests and overseeing clinical determinations in a remote setting.
Responsibilities:
- Reviews cases in which clinical determinations cannot be made
- Discusses determinations with requesting physicians
- Provides clinical rationale for appeals
- Assists initial clinical reviewers as needed
Requirements:
- 5+ years of experience in clinical review
- DO, MBBS, or MD required
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
Benefits:
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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